Reproductive health in the time of ...

What a difference a month makes! Disruptions in supply chains, foregoing nonessential patient appointments, potential siphoning of funds from reproductive health programs and possibly decreased access to free or subsidized family planning care are predictions that have implications for providers and patients alike during the growing outbreak of Covid-19. And the need to protect yourself and your patients (Check out the links at the end of this post.) Kissing and sex may be among the most effective ways to transmit Covid-19…and maybe future emerging infectious diseases.

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Talking about toys

The reproductive health field would be non-existent without sex, but conversations about sexuality remain taboo and are often omitted from clinical encounters. Clients report that practitioners rarely ask them about sex, despite the evidence suggesting that discussions about positive sexual experiences and satisfaction (and not merely sexual risk) yield significant benefits for patient health as well as the quality of the provider-patient relationship. So here is the proverbial “elephant” in the exam room.

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Missed Pills: The Problem That Hasn’t ...

With all the technology available to assist patients in remembering to take their pills, wouldn’t it make sense to think that missed pills are a thing of the past? That, apparently, is not the case, though. According to the National Survey of Family Growth, in 1 month’s time, 15% of oral contraceptive users reported missing 1 pill and another 16% reported missing 2 or more pills. And that is in only one month. Just what do we know about the risk for an unintended pregnancy after pills are missed? According to The Guttmacher Institute, 13% of women receiving abortions had relied on oral contraceptives in the month of becoming pregnancy. But as yet, there’s no direct evidence about the risk of pregnancy following missed pills. Therefore, we look at surrogate measures—such as ovulation, follicular development, and hormone levels—extrapolating from there on what to advise patients. Recent studies have looked at the effectiveness of counseling and reminders in helping users remember to take their pills daily. What practical tips might we learn from those studies? And, as ever, what are the current best missed-pill recommendations to share with your patients?

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The Book

Now available in a new 21st edition, this well-known text with more than 2 million copies in print has been the leading family planning resource... Read more
book
Conferences

Contraceptive Technology Conference 2020

Date: November 11-13, 2020

Location: Atlanta, GA, at the downtown Sheraton Atlanta

We'll bring you up-to-date evidence, explore the most puzzling issues, debate hot topics of the day, and offer practical solutions to your most common clinical dilemmas. You'll experience a variety of teaching styles: interactive case study discussions, faculty panel debates, hands-on training, plenary sessions and concurrent workshops. Plus, our authors and faculty invite you to have on-site discussions with with them: to answer your questions, to talk through some of your knotty clinical issues, to discuss the future of the field, and whatever you find helpful. 

We are excited to welcome our new conference partner—the American Sexual Health Association (ASHA)!

More details to come…in the meantime, sign up for our monthly updates.